CASE STUDY

Mitigating Readmission Penalties Save Texas Hospital Millions Annually

Client

A Texas Health System

Demographics

A 168-bed hospital within the health system was suffering from high CMS penalties due to high readmission rates for CHF, Pneumonia and MI

TeamHealth Partner Since

2013

Solutions

Post-Discharge Call Back Program for High-Risk Patients, EMR access and customized surveys

The Client’s Challenge

The hospital wanted to provide clinical check-ins for discharged patients, but leadership determined that providing this service with current nursing staff would be infeasible because the nursing staff was already working at capacity to care for inpatients.

Our Solution

The program included a RN call to each discharged patient within 24 to 32 hours of the patient leaving the hospital. The RNs determined whether patients were compliant with medications, had scheduled follow-up appointments, and understood or had questions about their discharge instructions. To determine potential areas of concern and to educate patients on condition management for high-risk patients, RNs asked questions about patients’ specific conditions. RNs clarified medications for patients and delivered real-time feedback to the hospital about patients who may be at risk along with other areas of concern.

Our IMPACT

The AccessNurse readmission reduction program exceeded the hospital’s anticipated results.

• $1.2M Savings due to 30-day readmits dropping 3% during the program’s first seven months (a 24% improvement and an estimated annualized savings of $2.1M)

• 49% Cost savings due to outsourcing the program and keeping nurses on the floor to provide patient care

• 42% Average increase in HCAHPS patient satisfaction questions resulting in a likelihood to recommend the hospital

• 3% Increase in follow-up appointment compliance

• 94% Of all needed interventions resolved by AccessNurse RNs with only 3% requiring escalation to hospital staff

 

AccessNurse is the premier provider of medical call center solutions, including telephone nurse triage, answering services and appointment scheduling. In business since 1996, AccessNurse serves more than 20,000 providers and practices, along with health care systems, FQHCs and universities across the country.  For more information regarding our telephone triage services, click here. To learn how our call center solutions can meet and exceed your organization’s goals and objectives, email us  or call 844-277-6312.